Case Report: Giant adrenal pseudocyst presenting with dysuria: a rare case report

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Background Adrenal pseudocysts are rare and usually asymptomatic lesions of the adrenal gland, often discovered incidentally during imaging or post-mortem examination. When large, they may cause compressive symptoms. We report a case of a giant adrenal pseudocyst presenting with flank pain and dysuria. Case presentation A 70-year-old man presented with left flank pain, upper abdominal pressure, and dysuria for three months. Imaging revealed a large left retroperitoneal cystic mass displacing adjacent organs. The patient underwent surgical excision with left adrenalectomy. Histopathology confirmed a giant adrenal pseudocyst. Discussion Adrenal pseudocysts are uncommon and often misdiagnosed preoperatively. Symptoms are typically related to mass effect when lesions are large. CT imaging helps localize the lesion, but definitive diagnosis relies on histopathology. Surgical excision is recommended for symptomatic or large lesions. Conclusion Giant adrenal pseudocysts are rare but should be considered in the differential diagnosis of retroperitoneal cystic masses. Surgery is indicated in symptomatic or uncertain cases to relieve symptoms and confirm the diagnosis.

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